Calcar Buttress Screw Fixation: A Wonderful Modality to preserve the Head of Femur
Barua VK1*, Sirsikar A2, Johari V3
1* Vinay Kumar Barua, Department of Orthopaedics, Netaji Subhash Chandra Bose Medical College, Jabalpur, MP, India.
2 A Sirsikar, Department of Orthopaedics, Netaji Subhash Chandra Bose Medical College, Jabalpur, MP, India.
3 V Johari, Department of Orthopaedics, Netaji Subhash Chandra Bose Medical College, Jabalpur, MP, India.
Case Details: A 25-Year-old male presented to our department, with complaints of pain, swelling and inability to move his right lower limb, on examination swelling, tenderness was present over right hip and restricted movement at right hip joint. Radiological examination revealed fracture Neck of Femur Right, Pauwels grade 3 with more than 50° and Garden Classification Type 4.
Operative Details: Closed reduction internal fixation with 3, 7.5mm self-tapping cannulated cancellous screw was done in biplanar double supported screw fixation.
Keywords: Calcar Buttress Screw Fixation, fracture Neck of Femur, BDSF
| Corresponding Author |
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Vinay Kumar Barua, , Department of Orthopaedics, Netaji Subhash Chandra Bose Medical College, Jabalpur, MP, India.
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Barua VK, Sirsikar A, Johari V, Calcar Buttress Screw Fixation: A Wonderful Modality to preserve the Head of Femur. ojmpc. 2022;28(2):86-87.
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Introduction
Fractures of neck of femur that are associated with risk of avascular necrosis of hip joint is a challenge for surgeons using standard operative techniques.
Case Details
A 25-Year-old male presented to our department, with complaints of pain, swelling and inability to move his right lower limb, on examination swelling, tenderness was present over right hip and restricted movement at right hip joint. Radiological examination revealed fracture Neck of Femur Right, Pauwels grade 3 with more than 50° and Garden Classification Type 4.
Operative Details
Closed reduction internal fixation with 3, 7.5mm self-tapping cannulated cancellous screw was done in biplanar double supported screw fixation.
Result
The functional outcome and pain were assessed with Harris Hip score.
We observed fair result in Harris Hip score, score was 73.2 in 3 months with 60 degrees of flexion, 15 degrees of extension, 35 degrees of abduction, 20 degrees of adduction. No complication was noted till 3 months of follow up.
Discussion
Neck of femur fracture is prone to avascular necrosis thus anatomical fixation is essential to achieve a stable and mobile hip. Secondary procedure for hip arthroplasty is uncommon after BDSF, and there is a small risk of neck perfusion related complication, but no such complications were noted in our case.
Conclusion
Fracture neck of femur managed with self-tapping cannulated cancellous screw in biplanar double supported screw fixation to restore neck femur anatomy and to achieve a good function outcome. The achieved results with the BDSF method in terms of fracture consolidation are far more successful than the results with conventional fixation methods. The BDSF-method ensures reliable fixation, early rehabilitation and excellent long-term outcomes.
| Manuscript Received |
Review Round 1 |
Review Round 2 |
Review Round 3 |
Accepted |
| 2022-12-03 |
2022-12-10 |
2022-12-17 |
2022-12-24 |
2022-12-31 |
| Conflict of Interest |
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| Authors state no conflict of interest. |
Non Funded. |
The conducted research is not related to either human or animals use. |
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© 2022by Barua VK, Sirsikar A, Johari Vand Published by Madhya Pradesh Orthopaedic Association. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by-nc/4.0/ unported [CC BY NC 4.0].
